Mitchell Allen Gevelber
MD | Pediatric Adolescent Medicine | Male
Mitchell Allen Gevelber, MD is a San Jose, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mitchell Allen Gevelber is
751 S Bascom Ave, Pediatrics Department, San Jose, California - 95128-2604. He can be contacted on phone at
408-885-5445.
Mitchell Allen Gevelber is a sole proprietor of his business.
NPI number (Unique professional ID) for Mitchell Allen Gevelber is
1326001298 which was assigned by NPPES on 10 Apr, 2006 and it was last updated on 05 Oct, 2012.
Mitchell Allen Gevelber license number is
A70083 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Mitchell Allen Gevelber specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mitchell Allen Gevelber basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mitchell Allen Gevelber |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mitchell Allen Gevelber address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 751 S Bascom Ave, Pediatrics Department
San Jose, CA, 95128-2604
United States |
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| Phone Number : | 408-885-5445 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1326001298 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2006 |
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| Last Updated On : | 05 Oct, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitchell Allen Gevelber are as mentioned. Primary taxonomy code for Mitchell Allen Gevelber, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | A70083 | CA |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A70083 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mitchell Allen Gevelber such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A700830 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1027 Daisy Ct
Sunnyvale, CA, 94086-8254
United States |
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| Phone Number : | 408-246-2557 |
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Business Location:
Patients can refer following map for directions to
Mitchell Allen Gevelber practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.